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Endovascular treatment of complex abdominal and thoracoabdominal aneurysms


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Until a few years ago, open surgery was the only form of treatment for patients with aortic pathologies. However, less invasive methods such as endografting with chimney, branched and fenestrated stent grafts have been increasing in importance in recent years. The demographic changes and the increasing number of high-risk patients have led to a shift toward endovascular techniques to open surgery for treatment of complex aortic disease in high-risk patients and it is addressed to vascular and endovascular surgeons, interventional radiologists and specialists of this field.
Some of the techniques, were introduced more than ten years ago. Accordingly, long-term results of this technique are available; benefits as well as limitations of this technique are well-known.
As thoracoabdominal aortic aneurysms still represent one of the most demanding pathologies with high morbidity and mortality, even in specialized cardiovascular centers, the description of the complete endovascular approach with branched endografts and the hybrid techniques will have a central role in this book.
All possible approaches at the present day are described in a step-by-step manner, including complications and trouble shooting procedures.
The chimney endovascular technique
The “Sandwich” technique
The hybrid open endovascular technique
Planning fenestrated and branched endografts
Use of fenestrated endografts
Use of branched endografts for thoracoabdominal aneurysms
Use of iliac side branch devices for aortoiliac aneurysms
Endovascular techniques for type B aortic dissection
Most frequent materials for endovascular aortic repair
Evolution of Vascular and Endovascular Surgery in the 21th century from the point of view of a young vascular surgeon

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